NCM 116 Nursing Care Past Paper PDF

## (SECTION B) NCM 116- Nursing Care of Clients with Life-threatening Conditions ### **1. Correct** A nurse is admitting a client who has a suspected myocardial infarction (MI) and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? - Angina can...

## (SECTION B) NCM 116- Nursing Care of Clients with Life-threatening Conditions ### **1. Correct** A nurse is admitting a client who has a suspected myocardial infarction (MI) and a history of angina. Which of the following findings will help the nurse distinguish angina from an MI? - Angina can be relieved with rest and nitroglycerin. - The pain of an MI resolves in less than 15 min. - The type of activity that causes an MI can be identified. - **Angina can occur for longer than 30 min.** ### **2. Correct** A nurse on a cardiac unit is reviewing the laboratory findings of a client who has a diagnosis of myocardial infarction (MI) and reports that his dyspnea began 2 weeks ago. Which of the following cardiac enzymes would confirm the infarction occurred 14 days ago? - **Troponin I** - Troponin T - CK-MB - Myoglobin ### **3. Correct** A nurse is caring for a client in a clinic who asks the nurse why her provider prescribed 1 aspirin per day. Which of the following is an appropriate response by the nurse? - **"Aspirin reduces the formation of blood clots that could cause a heart attack."** - "Aspirin relieves the pain due to myocardial ischemia." - "Aspirin dissolves clots that are forming in your coronary arteries." - "Aspirin relieves headaches that are caused by other medications." ### **4. Correct** A nurse is instructing a client who has angina about a new prescription for metoprolol. Which of the following statements by the client indicates understanding of the teaching? - "I should place the tablet under my tongue." - "I should have my clotting time checked weekly." - "I will report any ringing in my ears." - **"I will call my doctor if my pulse rate is less than 60."** ### **5. Correct** A nurse is presenting a community education program on recommended lifestyle changes to prevent angina and myocardial infarction. Which of the following changes should the nurse recommend be made first? - **Diet modification** - Relaxation exercises - Smoking cessation - Taking omega-3 capsules ### **6. Correct** A nurse is caring for a client who has heart failure and reports increased shortness of breath. The nurse increases the oxygen per protocol. Which of the following actions should the nurse take first? - Obtain the client's weight. - **Assist the client into high-Fowler's position.** - Auscultate lung sounds. - Check oxygen saturation with pulse oximeter. ### **7. Correct** A nurse is caring for a client who has heart failure and asks how to limit fluid intake to 2,000 mL/day. Which of the following is an appropriate response by the nurse? - "Pour the amount of fluid you drink into an empty 2 liter bottle to keep track of how much you drink." - **"Each glass contains 8 ounces. There are 30 milliliters per ounce, so you can have a total of 8 glasses or cups of fluid each day."** - "This is the same as 2 quarts, or about the same as two pots of coffee." - "Take sips of water or ice chips so you will not take in too much fluid." ### **8. Correct** A nurse is teaching a client who has heart failure about the need to limit sodium in the diet to 2,000 mg daily. Which of the following foods should be consumed in limited quantities? (Select all that apply.) - **cheddar cheese, 2 oz** - **hot dog** - **canned tuna, 3 oz** - roast chicken breast, 3 oz - baked ham ### **9 Correct** A nurse is completing discharge teaching to a client who has heart failure and is encouraged to increase potassium in his diet. Which of the following statements by the client indicates understanding of the teaching? - **"I will consume more white rice."** ### **1. Correct** A nurse in the emergency department is caring for a client who has an allergic reaction to a bee sting. The client is experiencing wheezing and swelling of the tongue. Which of the following medications should the nurse expect to administer first? - Methylprednisolong (Solu-Medrol) IV bolus - Diphenhydramine (Benadryl) subcutaneously - **Epinephrine (Adrenaline) IV** - Albuterol (Proventil) inhaler ### **2 Correct** A nurse in the emergency department is completing an assessment of a client who is in shock. Which of the following findings should the nurse expect? (Select all that apply.) - **Heart rate 60/min** - Seizure activity - **Respiratory rate 42/min** - Increased urine output - **Weak, thready pulse** ### **3 Correct** A nurse in a cardiac unit is assisting with the admission of a client who is to undergo hemodynamic monitoring. Which of the following actions should the nurse anticipate performing? - Administer large volumes of IV fluids - **Assist with insertion of pulmonary artery catheter** - Obtain Doppler pulses of the extremities - Gather supplies for insertion of a peripheral M catheter